A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication?

A. The AP's ability to complete the task without assistance: While it's important for the AP to be able to complete the task independently, this is not the only consideration when delegating tasks. The nurse should also consider whether the AP has the necessary knowledge and skill to perform the task safely and effectively.
B. The AP's rapport with clients: Although the AP's rapport with clients is valuable in providing care, it is not directly related to the ability to perform a delegated task. The nurse should prioritize delegation based on the AP's competency and skill level rather than their interpersonal skills.
C. The AP’s ability to prioritize: While the AP's ability to prioritize tasks is important in providing efficient care, it is not specifically related to the nurse's consideration when delegating tasks. Delegation decisions should primarily be based on the AP's knowledge and skill to perform the task safely and effectively.
D. The AP has the knowledge and skill to perform the task: This is the most appropriate consideration when delegating tasks. Ensuring that the AP has the necessary knowledge and skill to perform the delegated task safely and effectively is essential for patient safety and quality care. The nurse should assess the AP's competency and provide appropriate supervision and guidance as needed.

A. Measure the circumference of both upper arms: This is the priority action. Swelling above the PICC insertion site could indicate infiltration or another complication. Measuring the circumference of both upper arms allows the nurse to assess the extent of swelling and monitor for any changes over time, providing valuable information for further intervention and evaluation.
B. Notify the provider who inserted the PICC line: This is an important action, but it may not be the first step. Before notifying the provider, the nurse should gather objective data by assessing the client's condition, such as measuring arm circumference, to provide a comprehensive report to the provider.
C. Remove the PICC line: This is not the first action to take. Removing the PICC line should only be considered after thorough assessment and under the direction of a healthcare provider, especially if there are signs of complications such as swelling.
D. Apply a cold pack to the client's upper arm: While applying a cold pack may help reduce swelling in some cases, it is not the priority action in this situation. The nurse should first assess the extent of swelling and gather additional data before implementing interventions such as cold therapy.